Case Manager Assistant

Lifepoint Health • Eugene, OR

8d • Onsite

About The Position

PeaceHealth Springfield Rehabilitation Hospital is opening a brand-new inpatient rehabilitation facility (IRF) in 2026. This facility is part of Lifepoint Health. The Case Manager Assistant provides assistance to the case management staff, acting as a liaison for the hospital Case Management Department regarding clinical insurance review completion and issues. This role involves creating and sending referral packets, organizing patient records, making phone calls, obtaining signatures, scheduling family conferences, making arrangements for post-discharge follow-up care, and forwarding necessary patient clinical information for insurance reviews. The assistant will monitor, follow-up, document, and track payer responses, including approvals, appeals, and denials, and communicate these to appropriate personnel. Additionally, the role involves monitoring and tracking total hospital certified days for various payers and communicating missing certifications.

Requirements

• Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department.
• Proficient with WORD and EXCEL software, keyboard typing, and general office equipment.

Nice To Haves

• College degree in healthcare related field preferred
• LPN or social work degree preferred but not required

Responsibilities

• Provides assistance to the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team.
• Assists the case management team in scheduling family conferences.
• Assists the case management team by making necessary arrangements for post-discharge follow up care.
• Functions as the point of contact and liaison for the hospital Case Management Department staff regarding clinical insurance review completion and/or issues.
• Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews.
• Monitors, follow-up, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel [hospital staff, physician, DCM, Case Manager, Clinical Denial Management, and Centralized Business Office (CBO)].
• Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Lead CM/DQ.

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree